Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,063.69 / $3,350.67 / $5,534.53	Professional		$3,063.69	$3,350.67	$5,534.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,178.94 / $3,891.45 / $4,344.56	Professional		$3,178.94	$3,891.45	$4,344.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,205.50 / $4,054.51 / $5,866.60	Facility		$2,205.50	$4,054.51	$5,866.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,687.45 / $3,910.94 / $4,469.64	Professional		$3,687.45	$3,910.94	$4,469.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,909.75	Professional		$30.00	$78.00	$3,909.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,205.85 / $4,594.85 / $4,657.18	Professional		$4,205.85	$4,594.85	$4,657.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,033.47 / $3,419.99 / $5,184.46	Professional		$2,033.47	$3,419.99	$5,184.46